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Clinicopathologic characteristics and postoperative outcome in Japanese and Chinese patients with thoracic esophageal cancer.
- Source :
-
World journal of surgery [World J Surg] 1996 Mar-Apr; Vol. 20 (3), pp. 332-6. - Publication Year :
- 1996
-
Abstract
- We evaluated the clinicopathologic findings and surgical results of 140 patients with thoracic esophageal cancer treated at Shinshu University, Japan (Shinshu group), and compared them with those from 1164 patients treated at Hebei Medical College, China (Hebei group) to determine if the two groups showed any differences. The Shinshu group had significantly higher incidences of elderly patients (>70 years of age), male patients, and tumors located at the lower esophagus (p < 0.01). In the Hebei group, although the depth of tumor invasion was more advanced, the incidence of nodal metastasis was significantly lower (p < 0.01). Operative death and postoperative complications were more frequent in the Shinshu group. Comparison of the postoperative survival curves revealed significantly longer survival of patients with pT2 or pT3 tumor in the Hebei group (p < 0.01), but there were no significant differences between the two groups when the lesions were classified by pTNM stage. This study demonstrated several differences between the patients in the two areas in regard to the clinicopathologic characteristics of thoracic esophageal cancer. The most important characteristic of the esophageal cancer in the Hebei group appears to be the low incidence of nodal metastasis.
- Subjects :
- Adult
Aged
Aged, 80 and over
China
Esophageal Neoplasms ethnology
Esophageal Neoplasms pathology
Esophagectomy
Female
Humans
Japan
Lymphatic Metastasis
Male
Middle Aged
Neoplasm Staging
Survival Rate
Treatment Outcome
Cross-Cultural Comparison
Esophageal Neoplasms surgery
Postoperative Complications mortality
Subjects
Details
- Language :
- English
- ISSN :
- 0364-2313
- Volume :
- 20
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- World journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 8661840
- Full Text :
- https://doi.org/10.1007/s002689900053